| Aerosol inhalation pentamidine (94642) |
$205.35 |
$555 |
0.9× |
| Airway inhalation treatment (94640) |
$61.05 |
$165 |
0.3× |
| Airway resistance by oscillometry (94728) |
$332.54 |
$898.75 |
2.5× |
| Analyze neurostim simple (95971) |
$514.86 |
$1,391.50 |
5.2× |
| Behav assmt w/score & docd/stand instrument (96127) |
$62.81 |
$169.75 |
1.6× |
| Behavioral & qualit analysis voice and resonance (92524) |
$116 |
$313.50 |
1.1× |
| Bfb training 1st 15 min (90912) |
$79.46 |
$214.75 |
1.0× |
| Bfb training ea addl 15 min (90913) |
$79.46 |
$214.75 |
2.4× |
| Bioimpedance cv analysis (93701) |
$116.74 |
$315.50 |
0.8× |
| Bis extracellular fluid alys lymphedema assmnt (93702) |
$266.22 |
$719.50 |
2.0× |
| Cardiac stress test (93017) |
$1,382.69 |
$3,737 |
6.1× |
| Cardiopulmonary exercise testing (94621) |
$721.22 |
$1,949.25 |
1.9× |
| Cardioversion elective external (92960) |
$1,152.18 |
$3,114 |
1.7× |
| Carotid duplex scan; bilat (93880) |
$1,107.60 |
$2,993.50 |
4.4× |
| Carotid duplex scan; unil/limit (93882) |
$755.17 |
$2,041 |
6.9× |
| Chemo cns (intrathecal) w lp (96450) |
$920.93 |
$2,489 |
2.7× |
| Chemo hormon antineopl sq/im (96402) |
$207.94 |
$562 |
2.8× |
| Chemo inj via sq reservoir (96542) |
$207.94 |
$562 |
0.6× |
| Chemo IV infus each addl seq (96417) |
$483.59 |
$1,307 |
6.4× |
| Chemo IV infusion addl hr (96415) |
$349.19 |
$943.75 |
4.6× |
| Chemother prolong infuse w/pump (96416) |
$621.23 |
$1,679 |
1.8× |
| Chemother, IV infusion, 1 hr (96413) |
$977.91 |
$2,643 |
2.8× |
| Chemother, IV push,ea add drug (96411) |
$419.03 |
$1,132.50 |
5.6× |
| Chemother,non-hormone anti-neopl, sub-q/im (96401) |
$218.30 |
$590 |
2.9× |
| Chemotherapy administration into pleural cavity, requiring and including thoracentesis UNSCHEDULED (96440) |
$316.54 |
$855.50 |
0.9× |
| Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to… (96423) |
$66.42 |
$179.50 |
1.4× |
| Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour UNSCHEDULED (96422) |
$519.67 |
$1,404.50 |
1.5× |
| Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) |
$419.03 |
$1,132.50 |
1.2× |
| Chemotx admn pertl cavity implanted port/cath (96446) |
$421.43 |
$1,139 |
1.2× |
| Chron care mgmt srvc 20 min (99490) |
$134.31 |
$363 |
1.3× |
| Color/duplex Doppler, complete (93975) |
$826.30 |
$2,233.25 |
3.3× |
| Color/duplex Doppler, limited (93976) |
$764.93 |
$2,067.38 |
7.0× |
| Continuous inhalation tx, 1st hr (94644) |
$117.01 |
$316.25 |
0.8× |
| Cpap/bipap daily (94660) |
$340.22 |
$919.50 |
1.5× |
| Cpr (92950) |
$475.46 |
$1,285 |
2.1× |
| Cpt initial (94667) |
$95.83 |
$259 |
0.7× |
| Cpt subsequent (94668) |
$97.59 |
$263.75 |
0.7× |
| Critical care first hour (99291) |
$1,534.67 |
$4,147.75 |
1.8× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$291.75 |
$788.50 |
2.7× |
| Duplex a ivc il/bpg; compl (93978) |
$525.68 |
$1,420.75 |
2.1× |
| Duplex a ivc il/bpg; unil/lim (93979) |
$357.98 |
$967.50 |
3.3× |
| Duplex ext veins; bilat (93970) |
$1,088.26 |
$2,941.25 |
4.4× |
| Duplex hemodialysis access (93990) |
$663.78 |
$1,794 |
6.1× |
| Duplex le art/bpg; bilat (93925) |
$856 |
$2,313.50 |
3.4× |
| Duplex le art/bpg; unil/limit (93926) |
$527.25 |
$1,425 |
4.8× |
| Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) |
$307.84 |
$832 |
2.8× |
| Duplex ue art/bpg; bilat (93930) |
$852.57 |
$2,304.25 |
3.4× |
| Duplex ue art/bpg; unil/limit (93931) |
$530.12 |
$1,432.75 |
4.9× |
| Duplex venous ext unilat/lmtd (93971) |
$691.07 |
$1,867.75 |
6.3× |
| ECG monit/reprt up to 48 hrs (93226) |
$114.70 |
$310 |
1.9× |
| ECG up to 48 hrs recording (93225) |
$401.36 |
$1,084.75 |
2.9× |
| Echo transesophageal (93312) |
$3,200.69 |
$8,650.50 |
5.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,719.04 |
$7,348.75 |
4.8× |
| EEG awake & asleep (95819) |
$559.72 |
$1,512.75 |
2.5× |
| EEG awake/drowsy (95816) |
$536.22 |
$1,449.25 |
2.4× |
| EEG cerebral death eval (95824) |
$289.25 |
$781.75 |
0.7× |
| EEG coma or sleep only (95822) |
$559.72 |
$1,512.75 |
2.5× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$498.67 |
$1,347.75 |
2.2× |
| EEG extended monitoring 61-119 minutes (95813) |
$505.51 |
$1,366.25 |
2.2× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$763.31 |
$2,063 |
2.0× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$413.94 |
$1,118.75 |
1.8× |
| EEG w/o video by tech 2-12 hr unmonitored (95705) |
$413.94 |
$1,118.75 |
1.8× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$413.94 |
$1,118.75 |
1.8× |
| Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) |
$559.44 |
$1,512 |
2.5× |
| EKG rhythm strip (93041) |
$85.29 |
$230.50 |
1.4× |
| Elec alys implt npgt phys/qhp w/o programming (95970) |
$332.45 |
$898.50 |
2.4× |
| Electrocardiogram (93005) |
$109.34 |
$295.50 |
1.8× |
| Emergency department visit high mdm (99285) |
$1,395.46 |
$3,771.50 |
2.2× |
| Emergency department visit low mdm (99283) |
$1,319.05 |
$3,565 |
4.6× |
| Emergency department visit may not req phys/qhp (99281) |
$211.73 |
$572.25 |
2.4× |
| Emergency department visit moderate mdm (99284) |
$1,327.56 |
$3,588 |
3.0× |
| Emergency department visit straightforward mdm (99282) |
$491.18 |
$1,327.50 |
3.1× |
| Ergonovine provocation test (93024) |
$623.82 |
$1,686 |
1.3× |
| Evaluate pt use of inhaler (94664) |
$132.37 |
$357.75 |
0.6× |
| Evaluate speech production (92522) |
$116.64 |
$315.25 |
1.0× |
| Exercise tst brncspsm (94617) |
$293.60 |
$793.50 |
2.1× |
| External ECG rec>7d<15d recording (93246) |
$280.46 |
$758 |
7.2× |
| Gait training 15 min (97116) |
$29.69 |
$80.25 |
1.0× |
| Gas dilut/washout lung vol w/wo distrib vent&vol (94727) |
$369.08 |
$997.50 |
1.6× |
| Hast w/oxygen titrate (94453) |
$231.16 |
$624.75 |
1.7× |
| Hast w/report (94452) |
$236.80 |
$640 |
1.7× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) |
$181.58 |
$490.75 |
0.3× |
| Immunization Admin (90471) |
$53.37 |
$144.25 |
0.7× |
| Inhlj brncl challenge tstg w/histam/methachol (95070) |
$550.01 |
$1,486.50 |
1.4× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
$238 |
$643.25 |
4.9× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
$257.24 |
$695.25 |
1.2× |
| Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) |
$106.01 |
$286.50 |
2.7× |
| Irrigaj implntd venous access drug delivery syst (96523) |
$118.86 |
$321.25 |
1.9× |
| IV hydration each add'l hr (96361) |
$78.44 |
$212 |
1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$602.18 |
$1,627.50 |
2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$76.41 |
$206.50 |
1.0× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
$754.71 |
$2,039.75 |
3.4× |
| IV tx, each additional hour (96366) |
$119.70 |
$323.50 |
2.4× |
| Lwr xtr vasc stdy bilat (93924) |
$436.74 |
$1,180.38 |
1.9× |
| Manual therapy ea 15 min (97140) |
$36.26 |
$98 |
1.3× |
| Massage therapy ea 15 mins (97124) |
$42.64 |
$115.25 |
1.4× |
| Maximum voluntary ventilation (94200) |
$93.98 |
$254 |
1.5× |
| Mechanical chest wall oscillation lung function (94669) |
$135.88 |
$367.25 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$52.08 |
$140.75 |
1.6× |
| Med nutr tx group ea 30 m (97804) |
$28.68 |
$77.50 |
1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$58.46 |
$158 |
1.6× |
| Methacholine challenge (94070) |
$946.55 |
$2,558.25 |
2.4× |
| Microvolt T-wave alternans for assessment of ventricular arrhythmias UNSCHEDULED (93025) |
$487.29 |
$1,317 |
3.6× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) |
$115.07 |
$311 |
1.3× |
| Multiple sleep latency test (95805) |
$5,676.08 |
$15,340.75 |
6.3× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) |
$447.33 |
$1,209 |
1.1× |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
$447.33 |
$1,209 |
1.1× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
$213.77 |
$577.75 |
1.0× |
| Negative pressure wound therapy dme >50 sq cm (97606) |
$408.48 |
$1,104 |
1.0× |
| Nerve conduction studies 1-2 studies (95907) |
$629.56 |
$1,701.50 |
2.8× |
| Nerve conduction studies 11-12 studies (95912) |
$4,099.23 |
$11,079 |
10.5× |
| Nerve conduction studies 13/> studies (95913) |
$4,366.09 |
$11,800.25 |
11.2× |
| Nerve conduction studies 3-4 studies (95908) |
$1,258.93 |
$3,402.50 |
5.6× |
| Nerve conduction studies 5-6 studies (95909) |
$1,888.57 |
$5,104.25 |
8.4× |
| Nerve conduction studies 7-8 studies (95910) |
$2,395.47 |
$6,474.25 |
6.1× |
| Nerve conduction studies 9-10 studies (95911) |
$3,120.67 |
$8,434.25 |
8.0× |
| Neuromuscular junction test (95937) |
$482.39 |
$1,303.75 |
3.6× |
| Non-invasive physiologic study extremity 3 levels (93923) |
$515.50 |
$1,393.25 |
2.3× |
| Oral speech device eval (92597) |
$78.81 |
$213 |
1.1× |
| Ot group therapy procedures (97150) |
$24.79 |
$67 |
1.4× |
| Ot mechanical traction (97012) |
$40.24 |
$108.75 |
2.8× |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) |
$223.20 |
$603.25 |
1.7× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$223.20 |
$603.25 |
1.7× |
| Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) UNSCHEDULED (94690) |
$228.20 |
$616.75 |
3.7× |
| Paraffin bath therapy (97018) |
$7.31 |
$19.75 |
1.2× |
| Percutaneous tests w/allergenic extracts (95004) |
$127.19 |
$343.75 |
0.1× |
| Peripheral vascular rehab (93668) |
$107.58 |
$290.75 |
1.7× |
| Peritoneal Dialysis-Outpatient (90945) |
$670.63 |
$1,812.50 |
1.5× |
| Pharmacological or physical activation requiring physician or other qualified health care professional attendance… (95954) |
$1,303.05 |
$3,521.75 |
3.3× |
| Phlebotomy therapeutic (99195) |
$217.01 |
$586.50 |
1.6× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$162.43 |
$439 |
2.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$162.43 |
$439 |
2.6× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
$5,143 |
$13,900 |
5.7× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$2,547.54 |
$6,885.25 |
2.8× |
| Polysom <6 yrs cpap/bilvl (95783) |
$2,739.48 |
$7,404 |
3.1× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) |
$153.09 |
$413.75 |
0.7× |
| Pt Electric Current Therapy (97033) |
$56.33 |
$152.25 |
3.0× |
| Pt Electrical Stimulation (97032) |
$46.62 |
$126 |
3.2× |
| Pt eval high complex 45 min (97163) |
$100.92 |
$272.75 |
1.0× |
| Pt eval low complex 20 min (97161) |
$100.92 |
$272.75 |
1.0× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$39.59 |
$107 |
1.2× |
| Pt Physical Performance Test (97750) |
$35.24 |
$95.25 |
1.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$100.92 |
$272.75 |
1.0× |
| Pt Whirlpool Therapy (97022) |
$17.11 |
$46.25 |
1.1× |
| Pulm funct tst plethysmograp (94726) |
$616.98 |
$1,667.50 |
1.6× |
| Pulmonary stress testing (94618) |
$358.90 |
$970 |
2.6× |
| Pulse oximetry continuous (94762) |
$118.22 |
$319.50 |
0.9× |
| Pure tone audiometry, air only (92552) |
$214.79 |
$580.50 |
1.5× |
| Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) |
$458.99 |
$1,240.50 |
1.3× |
| Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) |
$458.99 |
$1,240.50 |
1.4× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95927) |
$971.44 |
$2,625.50 |
4.3× |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) |
$947.48 |
$2,560.75 |
4.2× |
| Signal average EKG (93278) |
$91.58 |
$247.50 |
1.5× |
| Sleep study unattended (95806) |
$619.94 |
$1,675.50 |
2.7× |
| Slp evaloral pharyngeal swallow function (92610) |
$114.79 |
$310.25 |
1.4× |
| Speech sound lang comprehen (92523) |
$147.72 |
$399.25 |
0.7× |
| Spirometry (94010) |
$218.34 |
$590.12 |
1.0× |
| Spirometry with bronchodilator (94060) |
$473.83 |
$1,280.62 |
1.2× |
| Ssep upper limbs (95925) |
$940.63 |
$2,542.25 |
4.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$24.88 |
$67.25 |
1.1× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) |
$24.88 |
$67.25 |
1.2× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$130.24 |
$352 |
1.7× |
| Tobacco use cessation intensive >10 minutes (99407) |
$50.23 |
$135.75 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$45.88 |
$124 |
1.2× |
| Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) |
$158.82 |
$429.25 |
0.7× |
| Tte f-up or lmtd (93308) |
$335.96 |
$908 |
1.3× |
| Tte W/Doppler Complete - Tte Complete (93306) |
$2,144.15 |
$5,795 |
3.8× |
| Tte w/o doppler complete (93307) |
$1,194.18 |
$3,227.50 |
4.8× |
| Tympanometry (92567) |
$57.72 |
$156 |
1.5× |
| Ultrasound therapy ea 15 mins (97035) |
$44.68 |
$120.75 |
3.1× |
| Upr/l xtremity art 2 levels (93922) |
$437.99 |
$1,183.75 |
3.2× |
| Valvuloplasty pulmonary valve (92990) |
$31,082.78 |
$84,007.50 |
2.6× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$413.94 |
$1,118.75 |
1.8× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$763.87 |
$2,064.50 |
2.0× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$1,511.45 |
$4,085 |
3.9× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$1,429.77 |
$3,864.25 |
1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,511.45 |
$4,085 |
3.9× |
| Veeg by tech ea incr 12-26 hr unmonitored (95714) |
$763.31 |
$2,063 |
2.0× |
| Ventilator initial day (94002) |
$688.85 |
$1,861.75 |
1.1× |
| Ventilator subsequent day (94003) |
$461.21 |
$1,246.50 |
0.7× |
| Visual ep testing cns except glaucoma w/i&r (95930) |
$272.41 |
$736.25 |
1.2× |
| Vital capacity total (94150) |
$91.95 |
$248.50 |
0.7× |
| Wound care non-selective (97602) |
$108.50 |
$293.25 |
0.5× |